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Individual

KYLE WILHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
419 S. WASHINGTON, SALLISAW, OK 74955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/11/2017
Last updated
11/11/2017
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